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社区药剂师教育干预对促进人乳头瘤病毒疫苗接种的影响:一项随机双盲平行组对比试验。

Effects of educational interventions for community pharmacists on promoting human papillomavirus vaccination: A randomized double-blind parallel group comparison trial.

作者信息

Wakui Nobuyuki, Watanabe Mai, Okami Aika, Kagi Hinako, Kawakubo Shoko, Hirota Yuna, Onoda Yui, Watanabe Tomofumi, Shirozu Shunsuke, Machida Yoshiaki, Kikuchi Mayumi

机构信息

Division of Applied Pharmaceutical Education and Research, Faculty of Pharmaceutical Sciences, Hoshi University, 2-4-41 Ebara, Shinagawa-ku, Tokyo 142-8501, Japan.

Shinagawa Pharmaceutical Association, 2-4-2 Nakanobu, Shinagawa-ku, Tokyo 142-0053, Japan.

出版信息

Vaccine X. 2025 Jan 8;22:100607. doi: 10.1016/j.jvacx.2025.100607. eCollection 2025 Jan.

Abstract

OBJECTIVE

Owing to persistent concerns about side effects, human papillomavirus (HPV) vaccination rates in Japan have remained low. Pharmacists are therefore encouraged to improve vaccination rates by providing accurate information. This study evaluated the impact of educational interventions on pharmacists' knowledge and willingness to recommend the HPV vaccine.

METHODS

This randomized double-blind trial assigned community pharmacists to an intervention or control group. The intervention group watched a video about the HPV vaccine and cervical cancer, whereas the control group watched a video about lung cancer. Assessments regarding knowledge and willingness to recommend the vaccine were conducted after obtaining consent (pre-test), immediately post-intervention (post-test 1), and 28 days post-intervention (post-test 2).

RESULTS

This study randomly assigned 124 participants. A significant difference in the change in motivation to recommend HPV vaccination at 28 days post-intervention (post-test 2) was observed between the two groups ( = 0.02). A significant difference in the change in motivation was also found between the two groups immediately post-intervention (post-test 1) ( < 0.001). Knowledge about the HPV vaccine and confidence in explaining it showed significant differences at both post-test 1 and post-test 2 ( < 0.001 for both).

DISCUSSION

Educational intervention significantly improved knowledge and willingness to recommend the HPV vaccine. This finding suggests that enhancing knowledge also boosts the willingness to recommend the vaccine, highlighting the potential long-term effects of educational interventions. Furthermore, our results underscore the crucial role pharmacists play in providing accurate information to the community.

CONCLUSION

Utilizing pharmacists to disseminate vaccine information is effective given their familiarity with and accessibility to community residents. Policymakers should therefore leverage pharmacists to promote vaccine recommendations.

TRIAL REGISTRATION

UMIN Clinical Trials Registry Number: UMIN000050192. Registered Feb 23, 2023.

摘要

目的

由于对副作用的持续担忧,日本的人乳头瘤病毒(HPV)疫苗接种率一直很低。因此,鼓励药剂师通过提供准确信息来提高疫苗接种率。本研究评估了教育干预对药剂师关于HPV疫苗的知识以及推荐该疫苗的意愿的影响。

方法

这项随机双盲试验将社区药剂师分为干预组或对照组。干预组观看了一段关于HPV疫苗和宫颈癌的视频,而对照组观看了一段关于肺癌的视频。在获得同意后(预测试)、干预后立即(后测试1)以及干预后28天(后测试2)进行了关于知识和推荐疫苗意愿的评估。

结果

本研究随机分配了124名参与者。两组在干预后28天(后测试2)推荐HPV疫苗的动机变化方面存在显著差异(P = 0.02)。在干预后立即(后测试1)两组之间的动机变化也发现了显著差异(P < 0.001)。在两个后测试(后测试1和后测试2)中,关于HPV疫苗的知识以及解释该疫苗的信心均显示出显著差异(两者P均< 0.001)。

讨论

教育干预显著提高了关于HPV疫苗的知识以及推荐该疫苗的意愿。这一发现表明,增加知识也会提高推荐疫苗的意愿,凸显了教育干预的潜在长期效果。此外,我们的结果强调了药剂师在向社区提供准确信息方面所起的关键作用。

结论

鉴于药剂师熟悉并能接触到社区居民,利用药剂师传播疫苗信息是有效的。因此,政策制定者应利用药剂师来促进疫苗推荐。

试验注册

UMIN临床试验注册号:UMIN000050192。于2023年2月23日注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2661/11774807/3f9c8ef6dea5/gr1.jpg

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